Uber Form

Full Name*

Email Address*

Telephone Number*

Store Name*

Store Address*

Street Address Address Line 2 City County / State / Region Post Code Country

Company Store Number*

Company Name*

Where did you hear about F`real?*

What is your store ownership?*

Do you belong to a symbol group?*

Which symbol group do you belong to?*

Who is your store development manager or area manager for your symbol group?*

Please confirm your type of store format?*

Store location*

Please confirm store address and postcode where the f'real machine will be located*

Please select which best describes neighbouring businesses*

Please confirm the size of your store*

What are you daily opening hours?*

How many milkshakes do you expect to sell on a daily basis, assuming a recommended retail price of £3?*

What is your store's total weekly sales?*

Please tick what locations are nearby (Within a 3 mile radius)*

What current facilities do you have in your Store? Please tick all.*

How would you operate the offer in store?*

Where would you locate your f'real equipment in store?*

Please confirm you understand that you may need to invest in counter, mains water, drainage and electrical sockets for our blender?*

Why are you interested in stocking f'real?*

What machine would you like to have installed?*

Please add any other comments relevant to your enquiry

Agree to be contacted*

‘I agree to the F’Real team contacting me using the above details to discuss my application.'

Agree to storage of details*

‘I agree to F’Real holding the above details on a database so my application can be stored for future reference.’

Name

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